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Durá Gómez P, Català-Mora J, López-de-Eguileta A, Díaz-Cascajosa J. Bilateral choroidal osteoma: long-term follow-up of secondary choroidal neovascularization in a child using antiangiogenic therapy. J AAPOS 2024; 28:103869. [PMID: 38460597 DOI: 10.1016/j.jaapos.2024.103869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Revised: 01/04/2024] [Accepted: 01/04/2024] [Indexed: 03/11/2024]
Abstract
Choroidal osteoma is a rare condition, and its treatment is not well established, especially in the pediatric population, where use of antiangiogenics for choroidal neovascularization is poorly studied. Few studies have reported the long-term follow-up of pediatric patients with bilateral choroidal osteomas. We report the case of a girl who was diagnosed at the age of 3, with the appearance of bilateral secondary choroidal neovascularization, and has been under strict observation for 12 years. The effectiveness of antiangiogenic agents as a long-term therapeutic option for secondary choroidal neovascularization in pediatric patients with symptomatic choroidal osteomas is discussed.
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Affiliation(s)
- Paula Durá Gómez
- Department of Ophthalmology, Cruces University Hospital, Barakaldo, Spain.
| | - Jaume Català-Mora
- Department of Ophthalmology, Sant Joan de Deu Children's Hospital, Pediatric Intraocular's Tumours Unit, Barcelona, Spain
| | - Alicia López-de-Eguileta
- Department of Ophthalmology, Sant Joan de Deu Children's Hospital, Pediatric Intraocular's Tumours Unit, Barcelona, Spain
| | - Jesús Díaz-Cascajosa
- Department of Ophthalmology, Sant Joan de Deu Children's Hospital, Pediatric Intraocular's Tumours Unit, Barcelona, Spain
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2
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Tingley JP, Park SS. Delayed Staphyloma Development in an Eye with Choroidal Osteoma. Ophthalmol Retina 2024; 8:306. [PMID: 38260923 DOI: 10.1016/j.oret.2023.12.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Revised: 12/20/2023] [Accepted: 12/21/2023] [Indexed: 01/24/2024]
Affiliation(s)
- Jennifer P Tingley
- Department of Ophthalmology & Vision Science, University of California Davis Eye Center, Sacramento, California
| | - Susanna S Park
- Department of Ophthalmology & Vision Science, University of California Davis Eye Center, Sacramento, California
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Avila SA, Nguyen G, Wojno T, Kim HJ. Orbital osteomas associated with Gardner's syndrome: a case presentation and review of literature. Orbit 2024; 43:109-114. [PMID: 35652300 DOI: 10.1080/01676830.2022.2080231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 05/16/2022] [Indexed: 10/18/2022]
Abstract
Gardner syndrome (GS) is a rare genetic disorder characterized by numerous intestinal colon polyps with various extraintestinal manifestations. Osteomas are a known extracolonic manifestation of GS and can affect the orbit, as seen in our patient, as well as 13 other cases documented in literature. Excision of large orbital osteomas can be successful with a multi-disciplinary approach as presented in this article. Ophthalmologists can even be the first to diagnose GS, usually via the presence of congenital hypertrophy of the retinal pigment epithelium (CHRPE) lesions. Untreated, 100% of colon polyps will transform into cancer, thus it is important to be aware of this rare syndrome with ophthalmic manifestations and screen patients with osteomas for GS.
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Affiliation(s)
- Sarah A Avila
- Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Grace Nguyen
- Emory University School of Medicine, Atlanta, Georgia, USA
| | - Ted Wojno
- Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia, USA
| | - H Joon Kim
- Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia, USA
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Kammoun S, Rekik M, Ayadi O, Jallouli A, Kilani W, Trigui A. Choroidal osteoma complicated by focal choroidal excavation and choroidal neovascularization: A case report. J Fr Ophtalmol 2024; 47:103907. [PMID: 37640581 DOI: 10.1016/j.jfo.2023.05.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 05/25/2023] [Indexed: 08/31/2023]
Affiliation(s)
- S Kammoun
- Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, Route Al Ain, 3029 Sfax, Tunisia
| | - M Rekik
- Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, Route Al Ain, 3029 Sfax, Tunisia.
| | - O Ayadi
- Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, Route Al Ain, 3029 Sfax, Tunisia
| | - A Jallouli
- Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, Route Al Ain, 3029 Sfax, Tunisia
| | - W Kilani
- Ophthalmology unit, CNSS clinic, Sfax, Tunisia
| | - A Trigui
- Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, Route Al Ain, 3029 Sfax, Tunisia
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Zhang L, Ran QB, Lei CY, Zhang MX. Clinical features and therapeutic management of choroidal osteoma: A systematic review. Surv Ophthalmol 2023; 68:1084-1092. [PMID: 37321477 DOI: 10.1016/j.survophthal.2023.06.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 06/06/2023] [Accepted: 06/06/2023] [Indexed: 06/17/2023]
Abstract
Choroidal osteoma is a benign ossifying tumor within the choroid. Complications associated with choroidal osteoma, including disruption of retinal pigment epithelium, atrophy of photoreceptors, subretinal fluid, and choroidal neovascularization, present challenges for clinicians, and management remain controversial. We performed a comprehensive search in the PubMed, EMBASE, and Ovid databases for published studies and case reports relating to the management of choroidal osteoma. Since it was first described in 1978, various case reports of ocular complications associated with choroidal osteoma have been documented, and various therapies have yielded different outcomes. We systematically evaluate the literature published on this rare entity.
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Affiliation(s)
- Li Zhang
- Sichuan University West China Hospital, Chengdu, China.
| | - Qi-Bo Ran
- Sichuan University West China Hospital, Chengdu, China.
| | - Chun-Yan Lei
- Sichuan University West China Hospital, Chengdu, China.
| | - Mei-Xia Zhang
- Sichuan University West China Hospital, Chengdu, China.
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Ren Y, Liu Y, Wu H, Meng Q, Zhang J, Li H, Dong S, Lian H, Du C, Zhang H. Subdural osteoma in an adolescent patient with epilepsy: an unusual case report and literature review. Childs Nerv Syst 2023; 39:3281-3288. [PMID: 37318613 DOI: 10.1007/s00381-023-06015-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Accepted: 05/31/2023] [Indexed: 06/16/2023]
Abstract
OBJECTIVE Subdural osteoma (SO) is a rarely reported benign tumor, and there is no report of SO manifested with epileptic seizures. We aim to further the understanding of SO-related epilepsy. METHODS Here, we report a meaningful case of epilepsy secondary to SO. A systematic review of the literature about SO using the electronic database PubMed and Web of science up to December 2022 was conducted. RESULTS A 15-year-old girl presented with epileptic seizures for 8 years. Magnetic resonance imaging revealed an irregular lesion with heterogeneous signal in the right frontal convexity. Right frontal craniotomy was performed to remove the lesion. The pathological diagnosis was SO. Histological analysis revealed that the mechanosensitive ion channels Piezo 1/2 were upregulated in the brain tissue compressed by the osteoma, compared with the levels in the osteoma-free region. Seizure freedom was obtained during the 6-month follow-up after the surgery. We identified 24 cases of SO in 23 articles. With our case, a total of 25 cases with 32 SOs was included. Of 25 cases, 24 are adults, and 1 is a child. Seizure has been reported only in our case. Frontal osteoma was found in 76% of the patients. Symptoms were cured in 56% of the patients after surgery. CONCLUSION Surgery is a safe and effective approach to the treatment of symptomatic osteoma. Mechanical compression on cerebral cortex may be a predisposing factor of the epileptogenesis caused by the SO.
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Affiliation(s)
- Yutao Ren
- Department of Neurosurgery and Clinical Research Center for Refractory Epilepsy of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, Shaanxi, China
- Center of Brain Science, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China
| | - Yong Liu
- Department of Neurosurgery and Clinical Research Center for Refractory Epilepsy of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, Shaanxi, China
| | - Hao Wu
- Department of Neurosurgery and Clinical Research Center for Refractory Epilepsy of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, Shaanxi, China
- Center of Brain Science, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China
- Center for Mitochondrial Biology and Medicine, The Key Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Xi'an Jiaotong University, Xi'an, Shaanxi, China
| | - Qiang Meng
- Department of Neurosurgery and Clinical Research Center for Refractory Epilepsy of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, Shaanxi, China
| | - Jiale Zhang
- Department of Neurosurgery and Clinical Research Center for Refractory Epilepsy of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, Shaanxi, China
- Center of Brain Science, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China
| | - Huanfa Li
- Department of Neurosurgery and Clinical Research Center for Refractory Epilepsy of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, Shaanxi, China
| | - Shan Dong
- Department of Neurosurgery and Clinical Research Center for Refractory Epilepsy of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, Shaanxi, China
| | - Haiping Lian
- Department of Neurosurgery and Clinical Research Center for Refractory Epilepsy of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, Shaanxi, China
| | - Changwang Du
- Department of Neurosurgery and Clinical Research Center for Refractory Epilepsy of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, Shaanxi, China
| | - Hua Zhang
- Department of Neurosurgery and Clinical Research Center for Refractory Epilepsy of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, Shaanxi, China.
- Center of Brain Science, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
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Lee HJ, Woo SJ. Spontaneous Resolution of Subretinal Detachment in Choroidal Osteoma Unresponsive to Antivascular Endothelial Growth Factor Agent and Multimodal Imaging: A Case Report. Korean J Ophthalmol 2023; 37:82-84. [PMID: 36796349 PMCID: PMC9935062 DOI: 10.3341/kjo.2022.0113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 10/20/2022] [Indexed: 11/23/2022] Open
Affiliation(s)
- Hyuk Jun Lee
- Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
| | - Se Joon Woo
- Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
- Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea
- E-mail (Se Joon Woo):
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Zipperer K, Munoz A, Kelly E, Goodwin B. Acquired Perforating Osteoma Cutis: A Rare Histopathological Diagnosis. Am J Dermatopathol 2023; 45:56-57. [PMID: 36484608 DOI: 10.1097/dad.0000000000002318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
ABSTRACT Perforating osteoma cutis is a benign proliferation of mature bone within the dermis and subcutaneous tissue of the skin with transepidermal elimination. Transepidermal elimination of bone is the hallmark of perforating osteoma cutis and is defined by the breaching of bone through the epidermis. Perforating osteoma cutis is exceptionally rare because only 6 cases have been recorded in the literature at the time of preparation of this report. In this report, we present the case of a 65-year-old female patient with a medical history of nonmelanoma skin cancer, hypertension, hyperlipidemia, and type II diabetes mellitus presented for evaluation of a skin lesion of the posterior lower left leg, which had been present for 1 year. Clinical and histopathologic findings were consistent with the diagnosis of acquired perforating osteoma cutis. Treatment with surgical removal by tangential biopsy has thus far proven to be both diagnostic and therapeutic because no recurrence has been noted as of 6 months.
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Affiliation(s)
- Kate Zipperer
- John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX; and
| | | | | | - Brandon Goodwin
- Departments of Dermatology, and
- Dermatopathology, University of Texas Medical Branch, Galveston, TX
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Tabarestani AA, Nemati-Nezhad M, Minaie MA, Sahvieh S, Nikzad R. A rare case report of extensive mandibular osteoma corrected by unilateral mandibulectomy: cytological, radiological, and pathological investigation. Open Vet J 2023; 13:382-387. [PMID: 37026065 PMCID: PMC10072837 DOI: 10.5455/ovj.2023.v13.i3.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 02/16/2023] [Indexed: 04/03/2023] Open
Abstract
Background:
Osteoma is a benign bone tumor that rarely affects animals. The most common bones involved with this tumor included the mandible, maxillofacial bones, and nasal sinuses. Definitive diagnosis is based on pathology findings which allow for differentiation with other bone lesions.
Case Description:
The patient, a five-year-old intact male Mongrel dog presented with a huge mandibular mass that involved both the right and left mandible, and led to dental occlusion. The radiography was performed and depicted the intense mass with a well-demarcated edge, a short transitional zone between normal and abnormal bone, and a smooth rounded radiopaque appearance. The investigation according to the fine needle aspiration showed the presence of oval to spindle shape cells with poorly malignancy criteria, fatty cells, reactive osteoblasts and osteoclasts based on a population of spindle-shaped cells, and low numbers of degenerated neutrophils, bacteria, and few macrophages. Then, the radiographic assessments and cytology findings demonstrated the osteoma and referred for surgical intervention. A unilateral mandibulectomy was performed, and the lesion was send to the histopathology laboratory. The histopathology evaluation showed osteocyte proliferation without malignancy features. The osteoblast cells also showed no atypical proliferation that endorses the osteoma tumor.
Conclusion:
Although, mandibular and maxillofacial bone resection in small animals have different tolerations, this patient became a candidate for surgery for future better nutrition and prevention of facial deformity and dental malocclusion. Follow-up after osteoma is one of the most necessary post-operation treatments to check the regeneration of the mass. There are considerable data in this report that should regard this tumor as a possible differential diagnosis for mandibular tumors.
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Affiliation(s)
| | - Masoud Nemati-Nezhad
- Board-Certified in Veterinary Clinical Pathology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran
| | - Mohammad Amin Minaie
- Small Animal Internal Medicine, Doctor Hasanzadeh Specialized Veterinary Hospital, Babolsar, Iran
| | - Sonia Sahvieh
- Department of Pathology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran
- Faculty of Pathology Department, Islamic Azad University of Babol, Babol, Iran
| | - Reza Nikzad
- Postgraduate in Veterinary Surgery, Shahid Bahonar University of Kerman, Kerman, Iran
- Member of National Elite Foundation of Iran
- Corresponding Author:Postgraduate in Veterinary Surgery, Shahid Bahonar University of Kerman, Kerman, Iran
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10
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Semenov FV, Reznikov RV, Ismelova AA. [Mastoid osteoma]. Vestn Otorinolaringol 2023; 88:97-99. [PMID: 38153900 DOI: 10.17116/otorino20238806197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2023]
Abstract
Osteomas of the temporal bone are rare, especially osteomas originating from the mastoid process. Most often occur in women aged 20-30 years. The maximum growth rate is observed during puberty. Usually, the neoplasm becomes an accidental finding on X-rays or CT scans. The clinic of osteoma depends on its location and size. The patient may complain of a cosmetic defect, headache, discomfort and a feeling of heaviness in the area of the neoplasm. In this clinical case, a long-term asymptomatic course of osteoma of the temporal bone is described. CT examination was used for its visualization, and treatment was carried out surgically using a drill.
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Affiliation(s)
- F V Semenov
- Kuban State Medical University, Krasnodar, Russia
| | | | - A A Ismelova
- Kuban State Medical University, Krasnodar, Russia
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11
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Kang HG, Kim TY, Lee J, Byeon SH, Kim SS, Kim M. Predicting Visual Outcomes in Choroidal Osteoma Treated with Anti-vascular Endothelial Growth Factor. Am J Ophthalmol 2022; 244:143-151. [PMID: 35970208 DOI: 10.1016/j.ajo.2022.08.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 07/07/2022] [Accepted: 08/05/2022] [Indexed: 01/30/2023]
Abstract
PURPOSE To determine potential factors associated with the long-term visual prognoses in patients with choroidal osteoma undergoing anti-vascular endothelial growth factor (VEGF) treatment. DESIGN Retrospective case series. METHODS Patients diagnosed at tertiary high-volume hospitals between January 2000 and December 2020 were evaluated. The primary outcome measure was visual acuity at 5-year follow-up. The secondary outcome measures included factors associated with favorable vision, defined as loss of <1 line and >20/200 vision. RESULTS Of 38 eyes from 36 patients (22 female, 61%; mean age 38 years) with choroidal osteoma, 23 eyes (61%) received anti-VEGF treatment (bevacizumab 1.25mg/0.05 cc, monthly or treat-and-extend) and 65% completed the 5 years of follow-up. All treated eyes had associated chorioretinal comorbidities (subretinal fluid 91%; choroidal neovascularization 74%; subretinal hemorrhage 30%). Although there was significant vision loss by 5 years (P = .002), 12 eyes (44%) had favorable outcomes. Only tumor thickness was significantly associated with unfavorable visual outcomes (OR 917.1, 95% CI 1.0-5687.7; P = .049). The optimal cut-off point predictive of visual outcomes was 1.4 mm, and tumor thickness ≥ 1.4 mm was associated with unfavorable vision (OR 27.0, 95% CI 2.0-368.4; P = .013). CONCLUSIONS Among patients with choroidal osteoma undergoing anti-VEGF therapy, a particular patient subset presented with divergent outcomes with very poor vision. Tumor thickness appeared to be the differentiating factor and is thus a potential prognostic indicator for long-term visual prognoses.
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Affiliation(s)
- Hyun Goo Kang
- From Department of Ophthalmology, Institute of Vision Research, Severance Eye Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.G.K, S.H.B, S.S.K); Translational Genome Informatics Laboratory, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea (H.G.K)
| | - Tae Young Kim
- Department of Ophthalmology, Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (T.Y.K, J.L, M.K)
| | - Junwon Lee
- Department of Ophthalmology, Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (T.Y.K, J.L, M.K)
| | - Suk Ho Byeon
- From Department of Ophthalmology, Institute of Vision Research, Severance Eye Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.G.K, S.H.B, S.S.K)
| | - Sung Soo Kim
- From Department of Ophthalmology, Institute of Vision Research, Severance Eye Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.G.K, S.H.B, S.S.K)
| | - Min Kim
- Department of Ophthalmology, Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (T.Y.K, J.L, M.K).
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Pereira A, Choudhry N, Kovach JL. Diagnostic And Therapeutic Challenges. Retina 2021; 41:2620-2624. [PMID: 33411475 DOI: 10.1097/iae.0000000000003108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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13
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Ortega Beltrá N, Matarredona Quiles S, Martín Arroyo M, Pons Rocher F. Mandibular osteoma as a cause of ankylosis and progressive trismus. BMJ Case Rep 2021; 14:e244014. [PMID: 34551913 PMCID: PMC8461283 DOI: 10.1136/bcr-2021-244014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/27/2021] [Indexed: 11/04/2022] Open
Abstract
Osteomas are benign tumours of bone tissue restricted to the craniofacial skeleton. The aim of this article is to present and discuss the demographic and clinical aspects and the management of craniomaxillofacial osteomas. When the patient was submitted from primary care to our hospital, he was 68 years old, and he had ankylosis of the temporomandibular joint for the previos 4 years. A CT scan was performed, finding a giant mandibular osteoma. Conservative treatment and radiological follow-up were carried out with clinical stability. Osteomas more often are seen in the paranasal sinuses and in young adults, with no differences in gender. Most are asymptomatic, but they can cause local problems. For its diagnosis, CT is usually performed. Treatment options are conservative management and follow-up or surgery. Although rarely, they can recur. Mandibular peripheral osteoma is a rare entity. Depending on the symptoms, a conservative or surgical treatment can be chosen. A clinical and radiological follow-up is necessary to detect possible recurrences or enlargement.
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Affiliation(s)
| | | | | | - Francisco Pons Rocher
- Cirurgia, Universitat de Valencia Facultat de Medicina i Odontologia, Valencia, Spain
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14
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Verma A, Maitra P. Spontaneous Regression of Asymptomatic Bilateral Choroidal Osteoma with Preserved Vision. Ophthalmic Surg Lasers Imaging Retina 2021; 52:519. [PMID: 34505808 DOI: 10.3928/23258160-20210825-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
[Ophthalmic Surg Lasers Imaging Retina. 2021;52:519.].
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15
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Efendic A, Postolache L, Postelmans L. Peculiar presentation of bilateral choroidal osteoma in a child. J Fr Ophtalmol 2021; 44:1358-1361. [PMID: 34454772 DOI: 10.1016/j.jfo.2021.02.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 01/31/2021] [Accepted: 02/15/2021] [Indexed: 11/17/2022]
Abstract
Report of a presentation of bilateral choroidal osteoma without neovascularization in a child following a school screening. Diagnosis was based on funduscopy, optical coherence tomography and B-scan ultrasonography. The child was followed regularly with cycloplegic refraction, funduscopy, macular SD-OCT and EDI-SD-OCT. Fluorescein angiography and OCT-angiography will be performed if necessary. PURPOSE To report a peculiar presentation of bilateral choroidal osteoma in a very young child. METHODS Case report. RESULTS During a school screening, a 4-year-old girl was detected with anisometropia as the first sign of a bilateral choroidal osteoma. The diagnosis was based on funduscopy, optical coherence tomography and B-scan ultrasonography. CONCLUSION Choroidal osteomas are rare benign tumors that can lead to severe visual loss due to progression or complications. They are found mostly in young adults, but in our case, the refractive screening allowed an early diagnosis despite the lack of visual symptoms.
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Affiliation(s)
- A Efendic
- Department of Ophthalmology, Queen Fabiola University Children's Hospital. Université Libre de Bruxelles, Brussels, Belgium; Department of Ophthalmology, Brugmann hospital, Université Libre de Bruxelles, Brussels, Belgium; Department of Ophthalmology, Saint-Pierre hospital, Université Libre de Bruxelles, Brussels, Belgium.
| | - L Postolache
- Department of Ophthalmology, Queen Fabiola University Children's Hospital. Université Libre de Bruxelles, Brussels, Belgium
| | - L Postelmans
- Department of Ophthalmology, Brugmann hospital, Université Libre de Bruxelles, Brussels, Belgium
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Abstract
Bone tumors of the foot are an uncommon finding. Most tumors are found incidentally on imaging and are benign. Care must be taken although due to the aggressive nature of malignant bone tumors that can occur in the calcaneus. Malignant lesions will more commonly present with symptoms of pain and swelling. Often misdiagnosed as soft tissue injuries, it is critical to be able to diagnose and treat these lesions early. Imaging plays an important role with plain films and advanced imaging. Surgical treatments can range from curettage with grafting to amputation for more aggressive lesions.
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Affiliation(s)
- Eric W Temple
- The Iowa Clinic, 5950 University Avenue West, Des Moines, IA 50266, USA; Unitypoint Health - Iowa Methodist Medical Center, 1415 Woodland Avenue, Des Moines, IA 50309, USA.
| | - Ryan D Prusa
- The Iowa Clinic, 5950 University Avenue West, Des Moines, IA 50266, USA; Unitypoint Health - Iowa Methodist Medical Center, 1415 Woodland Avenue, Des Moines, IA 50309, USA
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17
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Rusetsky YY, Mokoyan ZT, Malyavina US, Meytel IY, Panasenko EI, Klimenko KE. [A case of isolated sphenoid osteoma with suppurative sinusitis in a 15-year-old child]. Vestn Otorinolaringol 2021; 86:68-71. [PMID: 33720655 DOI: 10.17116/otorino20218601168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Isolated sphenoid osteomas are very rare even in adults. There are extremely few publications on pediatric cases of sphenoid osteomas. This paper presents a case of isolated sphenoid osteoma combined with suppurative sphenoiditis in a 15-year-old patient. The child presented with persistent headache resistant to medical treatment. Endoscopic sphenotomy allowed both to remove osteoma and to relieve the symptoms of sinusitis. The presented case can be considered as the third detailed description of the sphenoid osteoma in children and the first demonstration of the effectiveness of the endoscopic approach for its removal.
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Affiliation(s)
- Yu Yu Rusetsky
- National Medical Research Center for Children's Health, Moscow, Russia
- Central State Medical Academy, Moscow, Russia
| | - Zh T Mokoyan
- Sechenov First Moscow State Medical University, Moscow, Russia
| | - U S Malyavina
- National Medical Research Center for Children's Health, Moscow, Russia
| | - I Yu Meytel
- National Medical Research Center for Children's Health, Moscow, Russia
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18
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Castro M, Goycoolea M, Galvez M, Silva V, Montoya C, Fuentes J. Mastoid osteoma in a prehispanic cranium (1390 A.D.) from Northern Chile. Int J Paleopathol 2019; 24:141-143. [PMID: 30388584 DOI: 10.1016/j.ijpp.2018.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Revised: 10/16/2018] [Accepted: 10/16/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE Osteomas are slow-growing benign tumors that can affect the skull, most frequently the parietal and frontal. Temporal bone osteomas are more common in the external acoustic meatus and exceptional in the mastoid region. The rarity of mastoid osteomas is confirmed by the fact that very few cases have been reported in the clinical and paleopathological literature. The aim of this paper is to report a new paleopathological case of mastoid tumor in a Pre-Hispanic adult cranium. MATERIALS The skull derives from the Chunchuri (today Dupont-1 site) Pre-Hispanic site in Northern Chile (1390 A.D). METHODS Macroscopical examination and high-resolution tomography were used to assess the cranium. RESULTS The CT scan revealed a well demarcated lesion suggestive of a mastoid osteoma. CONCLUSIONS This case adds new evidence regarding the antiquity of primary neoplasms in ancient populations and reinforces the importance of high resolution imaging in paleopathological research. SIGNIFICANCE Due to the antiquity of the remains this is probably the oldest reported case of mastoid osteoma. LIMITATIONS The patrimonial nature of the remains did not allow histopathological studies. SUGGESTIONS FOR FURTHER RESEARCH Further intensive review of archeological skeletal collections is needed to better understand the epidemiology of neoplastic lesions in past populations.
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Affiliation(s)
- Mario Castro
- Department of Morphology, School of Medicine, Clínica Alemana-Universidad del Desarrollo, Av. Las Condes 12438, Santiago 7710162, Chile; Department of Museums, Servicio Nacional del Patrimonio, Av. Recoleta 683, Santiago 8420260, Chile.
| | - Marcos Goycoolea
- Department of Otolaryngology, Clínica Las Condes, Lo Fontecilla 441, Santiago 7591046, Chile
| | - Marcelo Galvez
- Department of Diagnostic Imaging, Clínica Las Condes, Lo Fontecilla 441, Santiago 7591046, Chile
| | - Veronica Silva
- Department of Anthropology, National Museum of Natural History, Parque Quinta Normal, Santiago, Chile; Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
| | - Carlos Montoya
- Biomedical Modeling Laboratory, Clínica Las Condes, Lo Fontecilla 441, Santiago 7591046, Chile
| | - Jorge Fuentes
- Biomedical Modeling Laboratory, Clínica Las Condes, Lo Fontecilla 441, Santiago 7591046, Chile
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19
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Leung EH, Stout JT. I Went in for a Routine Eye Examination. J Pediatr Ophthalmol Strabismus 2018; 55:352. [PMID: 30452763 DOI: 10.3928/01913913-20181018-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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20
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da Costa ED, Peyneau PD, Ferreira LM, Oliveira ML, Ambrosano GMB. Clinical implications, diagnosis, and treatment of a giant frontoethmoid osteoma. Gen Dent 2018; 66:e1-e4. [PMID: 30188863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Osteomas are benign, asymptomatic fibro-osseous tumors that are most commonly observed in the paranasal sinuses and sometimes are found in imaging examinations that were taken for other reasons. Giant osteomas are rarely found in the frontal and ethmoid sinuses but, when they are, they may cause intracranial and orbital complications. The aims of this case report are to describe a frontoethmoid osteoma in a 40-year-old woman, discuss the characteristics of this lesion through cone beam computed tomography (CBCT) imaging, and review the options for treatment. A CBCT examination performed for the purpose of orthodontic diagnosis revealed the presence of a large, well-defined, lobular, hyperdense mass that occupied a sizeable area of the frontal sinus and extended to the ethmoid sinus. The patient did not report any pain. Based on the physical and imaging characteristics of the mass, the location and size of the lesion, and the patient's age, the diagnosis was a giant frontoethmoid osteoma. Due to its enhanced field of view, CBCT may enable earlier diagnosis of lesions that affect the maxillofacial region.
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21
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Tanigasalam V, Bhat BV, Manivannan S, Munisamy M, Parchand S. Choroid Osteoma in Schimmelpenning-Feuerstein-Mims Syndrome. Indian Pediatr 2018; 55:601-602. [PMID: 30129544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND Schimmelpenning syndrome is a multisystem disorder. CASE CHARACTERISTICS A term female neonate with sebaceous nevi of the face had choroid osteoma of the right eye. OBSERVATION At one month of age, the infant was observed to have choroidal neovascularization that was successfully treated with laser photo-coagulation and anti-VEGF. MESSAGE Choroid osteoma and neovascularization are rare associations of Schimmelpenning syndrome, and should be screened for and managed early.
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Affiliation(s)
- Vasanthan Tanigasalam
- Department of Neonatology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India. Correspondence to: Vasanthan Tanigasalam, Department of Neonato-logy, JIPMER, Puducherry 605 006, India.
| | - B Vishnu Bhat
- Department of Neonatology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | - Sharmila Manivannan
- Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | - Malathi Munisamy
- Department of Dermatology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | - Swapnil Parchand
- Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
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22
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Odes EJ, Delezene LK, Randolph-Quinney PS, Smilg JS, Augustine TN, Jakata K, Berger LR. A case of benign osteogenic tumour in Homo naledi: Evidence for peripheral osteoma in the U.W. 101-1142 mandible. Int J Paleopathol 2018; 21:47-55. [PMID: 29778414 DOI: 10.1016/j.ijpp.2017.05.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/28/2016] [Revised: 05/08/2017] [Accepted: 05/08/2017] [Indexed: 06/08/2023]
Abstract
The reported incidence of neoplasia in the extinct hominin record is rare. We describe here the first palaeopathological analysis of an osteogenic lesion in the extinct hominin Homo naledi from Dinaledi Cave (Rising Star), South Africa. The lesion presented as an irregular bony growth, found on the right lingual surface of the body of the adult mandible U.W. 101-1142. The growth was macroscopically evaluated and internally imaged using micro-focus x-ray computed tomography (μCT). A detailed description and differential diagnosis were undertaken using gross and micromorphology, and we conclude that the most probable diagnosis is peripheral osteoma - a benign osteogenic neoplasia. These tumours are cryptic in clinical expression, though they may present localised discomfort and swelling. It has been suggested that muscle traction may play a role in the development and expression of these tumours. The impact of this lesion on the individual affected is unknown. This study adds to the growing corpus of palaeopathological data from the South African fossil record, which suggests that the incidence of neoplastic disease in deep prehistory was more prevalent than traditionally accepted. The study also highlights the utility of micro-computed tomography in assisting accurate diagnoses of ancient pathologies.
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Affiliation(s)
- Edward J Odes
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand Medical School, Parktown, Johannesburg, 2193, South Africa; Evolutionary Studies Institute, University of the Witwatersrand, Johannesburg, South Africa.
| | - Lucas K Delezene
- Evolutionary Studies Institute, University of the Witwatersrand, Johannesburg, South Africa; Department of Anthropology, University of Arkansas, Fayetteville, United States
| | - Patrick S Randolph-Quinney
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand Medical School, Parktown, Johannesburg, 2193, South Africa; Evolutionary Studies Institute, University of the Witwatersrand, Johannesburg, South Africa; School of Forensic and Applied Sciences, University of Central Lancashire, Preston, PR1 2HE, UK.
| | - Jacqueline S Smilg
- School of Radiation Sciences, University of the Witwatersrand, Johannesburg, South Africa; Department of Radiology, Charlotte Maxeke Academic Hospital, Johannesburg, South Africa
| | - Tanya N Augustine
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand Medical School, Parktown, Johannesburg, 2193, South Africa
| | - Kudakwashe Jakata
- Evolutionary Studies Institute, University of the Witwatersrand, Johannesburg, South Africa
| | - Lee R Berger
- Evolutionary Studies Institute, University of the Witwatersrand, Johannesburg, South Africa
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23
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Abstract
Intracranial subdural osteomas without any relation to osseous or meningeal tissues are rare, with only five cases including the present one having been reported so far. In most patients headache, which was always localized at the site of the lesion, was the most frequent complaint and subsided after complete resection of the neoplasm. The mechanism of origin of such lesions remains unknown.
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Affiliation(s)
- Antonio Pau
- Department of Neurosurgery, University of Genoa, Italy
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24
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Abstract
RATIONALE Osteoma with actinomycosis is a very rare disease in the nasal cavity. PATIENT CONCERNS We report a case of a 17-year-old female student who presented with nasal obstruction and rhinorrhea for 6 months. DIAGNOSES The preoperative finding was osteoma covered with yellowish polypoid material. INTERVENTIONS We performed endoscopic sinus surgery, which included excision of the tumor and medication with oral penicillin for 8 weeks. OUTCOMES Postoperative recovery was uneventful. There was no evidence of tumor recurrence during the 1-year period after surgery. CONCLUSION Anaerobic conditions as a result of allergic rhinitis and narrowed nasal cavity because of osteoma can be the cause of formation of actinomycosis. Clinicians should note that osteoma with actinomycosis can be treated with surgical removal of the tumor and short-term antibiotic therapy.
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Affiliation(s)
- Jong Seung Kim
- Department of Otolaryngology-Head and Neck Surgery, Chonbuk National University
- Research Institute of Clinical Medicine of Chonbuk National University—Biomedical Research Institute of Chonbuk National University Hospital
| | - Sang Jae Noh
- Research Institute of Clinical Medicine of Chonbuk National University—Biomedical Research Institute of Chonbuk National University Hospital
- Department of Forensic Science, College of Medicine, Chonbuk National University, Jeonju
| | - Soon Ho Ryu
- Plus I Mi Ko clinic, Suncheon, Chonnam, Korea
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25
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Chawla R, Azad SV, Takkar B, Sharma A, Kashyap B. Nonconforming Deep Focal Choroidal Excavation in a Patient With Choroidal Osteoma: A Diagnostic Dilemma. Ophthalmic Surg Lasers Imaging Retina 2017; 48:944-947. [PMID: 29121366 DOI: 10.3928/23258160-20171030-12] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2017] [Accepted: 06/15/2017] [Indexed: 11/20/2022]
Abstract
Evolution of an osteoma may result in neurosensory detachment, deossification, and choroidal neovascularization (CNV). The authors report a rare case of choroidal osteoma with CNV associated with a deep non-conforming focal choroidal excavation. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:944-947.].
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26
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Zbiba W, Baba A, Bouayed E. [Uncomplicated choroidal osteoma]. J Fr Ophtalmol 2017; 40:253-254. [PMID: 28318716 DOI: 10.1016/j.jfo.2016.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2016] [Accepted: 10/24/2016] [Indexed: 11/17/2022]
Affiliation(s)
- W Zbiba
- Service d'ophtalmologie, CHU Mohamed Taher Maamouri de Nabeul, 8000 Mrezgua, Nabeul, Tunisie.
| | - A Baba
- Service d'ophtalmologie, CHU Mohamed Taher Maamouri de Nabeul, 8000 Mrezgua, Nabeul, Tunisie
| | - E Bouayed
- Service d'ophtalmologie, CHU Mohamed Taher Maamouri de Nabeul, 8000 Mrezgua, Nabeul, Tunisie
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27
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Nazli Z, Abdul Fattah AW. A rare case of large sphenoethmoidal osteoma. Med J Malaysia 2017; 72:60-61. [PMID: 28255144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Osteoma is the most common benign tumour of the nose and paranasal sinuses. However, involvement of the sphenoid sinus by osteoma is rare. Most of the time, patients with paranasal sinus osteoma are asymptomatic. However, symptoms may present, depending on the location and extension of the tumour. We report a case of a patient with sphenoethmoidal osteoma found incidentally on imaging, with evidence of impingement onto the optic nerve at the optic canal. However, the patient was asymptomatic. He was surgically treated using the endoscopic transnasal approach.
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Affiliation(s)
- Z Nazli
- Universiti Teknologi MARA (UiTM), Health & Wellbeing (HW) Core, 40450 Shah Alam, Selangor Darul Ehsan, Malaysia.
| | - A W Abdul Fattah
- Hospital Sungai Buloh, Department of Otorhinolaryngology, Selangor, Malaysia
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28
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Ahmad M, Tsui E, Smith RT. Choroidal Osteoma Deossification Visualized by Enhanced Depth Imaging Spectral-Domain Optical Coherence Tomography. Ophthalmic Surg Lasers Imaging Retina 2017; 48:87-90. [PMID: 28060401 DOI: 10.3928/23258160-20161219-14] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Accepted: 10/31/2016] [Indexed: 11/20/2022]
Abstract
Choroidal osteoma (CO) is a rare, benign ossifying lesion of the choroid found in otherwise healthy patients. Although associated with good visual prognosis, tumor deossification in choroidal osteoma has been linked with vision loss, presumably due to overlying photoreceptor degeneration. Here the authors present a case of CO in an elderly male demonstrating tumor deossification and photoreceptor atrophy during a 3-year follow-up using enhanced depth imaging optical coherence tomography (EDI-OCT). Visual acuity was maintained due to the tumor's noncentral location. Patients with CO should undergo regular imaging with EDI-OCT to screen for tumor deossification and impending vision loss. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:87-90.].
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29
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Pohranychna K. A rare clinical case of the isolated primary frontal bone osteoma. Exp Oncol 2016; 38:204-206. [PMID: 27685532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
AIM To study a rare clinical case of isolated primary osteoma localized in the frontal bone, provide its detailed clinical and pathomorphological analysis, and evaluate statistical indicators of occurrence frequency and localization of facial skeleton osteomas during 2006-2015. MATERIALS AND METHODS The retrospective case records analysis of patients undergoing treatment in the ma-xillofacial department of Lviv Regional Clinical Hospital and suffering from facial skeleton osteomas was conducted. The clinical examination was carried out in accordance with the inspection protocol required for the examination of patients diagnosed with tumors and tumor-like neoplasms in a particular clinical case. Frontal and lateral views were used in the course of X-ray imaging. Histological studies included macroscopy and microscopy. RESULTS According to the retrospective case record analysis made over the last 10 years 346 cases of facial bone osteoma were revealed and proved histologically comprising 3.7% of all benign osteogeneous maxillofacial tumors. For the first time in 10 years osteoma localized in the frontal bone had been revealed and thoroughly studied. Macroscopically - a semi-spherical and immovable neoformation 7 cm in diameter of hard consistency, splaying out at 4 cm and being adherent with the frontal bone. Roentgenologically - homogeneous intense shadowing of a round form with relatively distinct outlines complying with clinical sizes. According to the histological data, the tumor consists mostly of the solid osseous tissue and the spongy osseous tissue with the evident thickened trabeculas of the bone located in different directions. CONCLUSION The analysis of historical data demonstrated extremely rare localization of primary osteoma of the frontal bone, and indicated the uniqueness of the case and significant clinical importance of its detailed study.
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Affiliation(s)
- Kh Pohranychna
- Department of Oral and Maxillofacial Surgery, Danylo Halytsky Lviv National Medical University, Lviv 79010, Ukraine
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30
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Abstract
Fibro-osseous pseudotumour is a rare, benign lesion which behaves aggressively and is, therefore, commonly misdiagnosed as a malignancy. Fibro-osseous pseudotumour shares many features with myositis ossificans and many consider it to be a subcutaneous variant of the latter. Early diagnosis and treatment by excision to normal tissue margins is important to preserve function and avoid digital amputation. We report a case of fibro-osseous pseudotumour of the finger which required ray amputation due to rapid progression of the lesion.
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Affiliation(s)
- R A Coleman
- Department of Plastic Surgery, Royal Brisbane Hospital, Herston, Queensland, Australia.
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31
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Safi Y, Valizadeh S, Vasegh S, Aghdasi MM, Shamloo N, Azizi Z. Prevalence of osteoma cutis in the maxillofacial region and classification of its radiographic pattern in cone beam CT. Dermatol Online J 2016; 22:13030/qt1x769989. [PMID: 26990467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2016] [Accepted: 01/15/2016] [Indexed: 06/05/2023] Open
Abstract
BACKGROUND Osteoma cutis is a rare soft tissue ossification of cutaneous tissue and may be primary or secondary. In the majorityof cases it is clinically asymptomatic and may detected incidentally on radiographic examination. Cone beam computed tomography (CBCT) has can be of great assistance in the detection of this asymptomatic lesion. OBJECTIVES In this retrospective study, the prevalence and different radiographic appearance of osteoma cutis was evaluated. MATERIALS AND METHODS A total of 6,500 CBCT images were evaluated for the presence of osteoma cutis. Ectopic existence of calcified tissue within the soft tissue of the dermis or epidermis that was incompatible with the calcification of other anatomic structures or soft tissue calcifications was considered to be osteoma cutis. Accordingly, the detected patterns were divided into four distinct groups: (1) a single nodule, (2) plate-like lesion, (3) single or multiple depth lesion(s), trans-epidermal, and (4) multiple, disseminated lesions of various sizes known as multiple miliary. The data were evaluated in terms of prevalence and variations. The frequency, total prevalence, percentage and the prevalence of different radiographic forms of this lesion were calculated. RESULTS One hundred and forty eight (2.27%) cases of 6,500 evaluated tomograms had osteoma cutis. Of these, 5 (0.07%) were in the form of a single nodule, 4 (0.06%) were single, plate-like lesions, 7 (0.1%) were multiple plate-like lesions, 2 (0.03%) were in the form of a deep thread-like lesion, and 130 (2%) presented as multiple disseminated lesions. CONCLUSION According to the radiographic views, osteoma cutis may be categorized into single nodular, single or multiple plate- like, deep, and multiple disseminated forms. Of the mentioned radiogarphic patterns, the multiple disseminated form (miliary) hada higher prevalence in our study. CBCT images enable accurate evaluation of the nature and frequency of osteoma cutis.
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Affiliation(s)
- Yaser Safi
- Shahid Beheshti University of Medical Science, Dental Faculty, Tehran
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32
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Vargo R, Bilodeau EA, Potluri A. Supernumerary Teeth: Case Comparison and Review of the Literature. J Mich Dent Assoc 2015; 97:30-34. [PMID: 26793832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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33
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Han YM, Wang Y, Gao QQ, Fegn XY, Bu LX, Feng YY, Shang W. [Soft-tissue osteomas in buccal space: a case report and review of the literatures]. Shanghai Kou Qiang Yi Xue 2015; 24:766-768. [PMID: 27063136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Osteoma is a benign tumor, which is composed of mature differentiated bone tissue .Osteoma can be central, peripheral or extraskeletal. Extraskeletal osteoma also is called soft-tissue osteoma. Extraskeletal soft-tissue osteoma is exceedingly rare, especially in the oral cavity. This article reported a case with soft-tissue osteomas in buccal space. The histogenesis, differential diagnosis, pathologic type and treatment were discussed. Surgical resection is suggested as the main treatment for this disease.
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Affiliation(s)
- Yu-min Han
- Department of Stomatology, Liangshan People's Hospital. Liangshan 272600,China. E-mail:
| | - Yan Wang
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Medical College, Qingdao University. Qingdao 266003, Shandong Province, China
| | - Qian-qian Gao
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Medical College, Qingdao University. Qingdao 266003, Shandong Province, China
| | - Xiao-yu Fegn
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Medical College, Qingdao University. Qingdao 266003, Shandong Province, China
| | - Ling-xue Bu
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Medical College, Qingdao University. Qingdao 266003, Shandong Province, China
| | - Yuan-yong Feng
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Medical College, Qingdao University. Qingdao 266003, Shandong Province, China
| | - Wei Shang
- Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Medical College, Qingdao University. Qingdao 266003, Shandong Province, China
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34
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Peng J, Meng X. [A case of subglottic osteoma]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2015; 29:1038-1039. [PMID: 26536714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
A 41 years female patient was hospitalized with hoarseness for three months, without cough, expectoration and dyspnea. The symptom had no relief by application of antibiotics. Electronic laryngoscope showed that there were the grey neoplasms under subglottic anteriou commissure with broad base and slightly rough surface, and bilateral vocal cords were normal; throat CT showed subglottic irregular high density and calcification. The subglottal tumor resection was performed under the general anesthesia and laryngoscope CO2 laser assisted. In the operation, we found that the tumor was hard with surface of thin mucosa tissue, and there was white bone tissue under it. The removing tumor was about 0. 8 cm X 0. 6 cm X 0. 3 cm and was diagnosed as subglottic osteoma by pathologic examine. There was no recurrence in three months follow-up.
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35
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Abstract
Orbital emphysema is generally recognized as a complication of orbital fractures involving any paranasal sinuses. The recognition about its etiology has extended beyond sole trauma, but few articles mentioned tumors to be a possible cause.In this case report, we present a patient with orbital emphysema associated with ethmoid osteoma without orbital cellulitis or trauma history. The patient developed sudden proptosis, eyelid swelling, and movement limitation of the left eye, peripheral diplopia, and left periorbital crepitus after a vigorous nose blowing.Complete surgical resection of ethmoid osteoma followed by repair of the orbital medial wall was performed with assistance of combined endoscopy and navigational techniques. Twelve-month follow-up showed no residual lesion or recurrence; the orbital medial wall was accurately repaired with good visual function and facial symmetry.Tumors should be considered for differential diagnosis of orbital emphysema, and combined endoscopy and navigational techniques may improve safety, accuracy, and effectiveness of orbital surgeries.
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Affiliation(s)
- Ai Zhuang
- From the Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
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36
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Hansford BG, Pytel P, Moore DD, Stacy GS. Osteoma of long bone: an expanding spectrum of imaging findings. Skeletal Radiol 2015; 44:755-61. [PMID: 25380570 DOI: 10.1007/s00256-014-2046-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Revised: 10/19/2014] [Accepted: 10/24/2014] [Indexed: 02/02/2023]
Abstract
Osteoma of long bone is an extremely rare, benign bone-forming surface lesion with the largest published case series consisting of only 14 patients. The most important and often most difficult lesion to differentiate from osteoma of long bone radiographically is parosteal osteosarcoma, which is a rare, low-grade surface osteosarcoma with the potential for dedifferentiation. Reports of imaging studies of osteoma of long bone depict a well-defined ossified mass arising from the surface of the diaphysis or metadiaphysis of a long bone. A characteristic feature is the homogeneity of the mass, with uniform density near or equal to that of cortical bone from the base of the lesion to its periphery. The 45-year-old female in this case presented with left hip fullness and was subsequently found to have a proximal femoral osteoma, which was unique in that it contained large fatty marrow spaces that corresponded to bands of relatively low density on plain radiography and computed tomography, giving it a heterogeneous appearance atypical of osteoma of long bone. Furthermore, the osteoma reported here was associated with a small but separate nodular focus of ossification in the adjacent soft tissue. These findings led to a presumptive diagnosis of parosteal osteosarcoma with a local soft tissue metastasis or satellite nodule resulting in radical resection of the tumor. Definitive diagnosis of osteoma was made on histology of both the parent lesion and ossified nodule as no neoplastic spindle cell proliferation was present to establish a diagnosis of low-grade osteosarcoma. This represents, to the best of our knowledge, the first such presentation of osteoma of long bone.
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Affiliation(s)
- Barry Glenn Hansford
- University of Chicago Medicine, 5841 South Maryland Ave, MC 526, Chicago, IL, 60637, USA,
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Dell'Aversana Orabona G, Salzano G, Iaconetta G, Piombino P, Ponzo L, Santella A, Astarita F, Solari D, Salzano FA, Califano L. Facial osteomas: fourteen cases and a review of literature. Eur Rev Med Pharmacol Sci 2015; 19:1796-1802. [PMID: 26044223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE Osteomas are benign tumors that frequently affect the cranio-facial region, especially the temporal bones, jaw and sinus. This lesion very rarely involves the maxillary bones. The aim of our study is to describe our surgical case series and to evaluate the diagnosis and management of peripheral craniofacial osteomas with a review of the literature. PATIENTS AND METHODS We retrospectively analyzed a series of 14 patients that underwent surgery for the removal of a cranio-facial osteoma, 10 cases were peripheral osteoma of the lower jaw and 4 were peripheral osteomas of the upper jaw. The 14 patients included 8 females and 6 males, with a mean age of 42 years. The median follow up period was 48 months. RESULTS All patients received a total surgical removal and we did not have any intraoperative complications with optimal cosmetic and functional results. Pain resolved in all cases and a single case postoperative dysesthesia occurred. NO recurrence has been detected at last follow-up visit. CONCLUSIONS Osteomas must be well identified and differentiated from other solid diseases of the bone and should be treated if symptomatic. The elective treatment is surgical removal, resulting in a complete resolution of the pathology.
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Affiliation(s)
- G Dell'Aversana Orabona
- Division of Maxillo-Facial surgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, Università degli Studi di Napoli Federico II, Naples, Italy.
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Dong J, Lu M, Zhou H, Zhang W, Li Y, Dong W. [Clinical analysis of primary nasal sinus osteoma]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2015; 50:8-13. [PMID: 25764920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE To summarize and analyze the clinical features, diagnosis, surgical approaches and treatment outcomes of patients with primary nasal sinus osteoma. METHODS A retrospective review of 48 cases with primary nasal sinus osteoma treated from January 2007 to December 2013 was performed. All patients underwent preoperative CT scan and postoperative histopathologic examination. The surgical approaches included lateral rhinotomy in 14 cases, nasal endoscopic resection in 12 cases, coronal surgical incision craniotomy in 13 cases, combined craniofacial approach in 4 cases, and Caldwell-Luc approach in 5 cases. RESULTS The postoperative pathological diagnosis consisted of 3 variants, including 20 for compact type and 15 for cancellous type, and 13 for mixed type. Six cases were lost to follow-up and 42 cases were followed up for 6-60 months, 5 cases recurred. The post-operative complications included sinus mucous cyst in 4 cases, cerebrospinal fluid leak in 3 cases. CONCLUSIONS Nasal sinus osteoma are common. CT or MRI is helpful to evaluate the osteoma size, location and possible sources, and to make operation scheme. Surgery is the first choice for sinus osteoma. Lateral rhinotomy and nasal endoscopic resection can be applied to most sinus osteoma. The prognosis of sinus osteoma is good, with fewer recurrence.
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Affiliation(s)
- Jiadi Dong
- Department of Otorhinolaryngology, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - Meiping Lu
- Department of Otorhinolaryngology, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - Han Zhou
- Department of Otorhinolaryngology, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - Weiqiang Zhang
- Department of Otorhinolaryngology, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - Yingying Li
- Department of Otorhinolaryngology, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - Weida Dong
- Department of Otorhinolaryngology, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
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Oral Pathology Quiz #87. Case Number 1. Ameloblastoma. J N J Dent Assoc 2015; 86:16, 20. [PMID: 26242104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Khan N, Rahman NA, Uddin MS. Choroidal osteoma - case reports. Mymensingh Med J 2014; 23:599-602. [PMID: 25178620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Choroidal osteoma is a rare disease. In this article four case histories were described. All were female and young patient. One patient had bilateral and other three had unilateral involvement. They had no family history. One patient reported at eye department in Bangabandhu Sheikh Mujib Medical University (BSMMU) and the other three patients reported in Bangladesh Eye Hospital. Choroidal osteoma is a benign tumor. It is diagnosed by fundoscopy, ocular B-scan ultrasonography, x-ray orbit, FFA, OCT and CT-scan of orbit. Most patients do not require treatment. Hemorrhage on the lesion suggests the presence of sub-retinal neovascularization which are typically treated with laser or intra-vitreal anti-VEGF.
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Affiliation(s)
- N Khan
- Dr Nazneen Khan, Assistant Professor, Department of Ophthalmology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbagh, Dhaka, Bangladesh
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Abstract
A 45-year-old man presented to the emergency ward with features of intestinal obstruction of 2 days duration. On admission, there was abdominal distension and multiple sessile polyps found on digital rectal examination. In addition, a soft tissue swelling near the elbow and a bony swelling over scalp were noted. Abdominal radiography revealed gaseous distension of the small and large bowel, and ultrasound revealed diffuse, gas-filled bowel with sluggish peristalsis. The obstruction failed to resolve with conservative measures and at emergency laparotomy an irregular hard recto-sigmoid junction mass was identified. A defunctioning transverse loop colostomy was undertaken and the abdomen closed. During recovery, a colonoscopy was performed and a malignant appearing lesion was identified 15 cm proximal to the anal verge. Further per-stomal colonoscopy revealed multiple sessile polyps from the ileo-caecal valve to the descending colon. The cutaneous and abdominal findings were consistent with a rare acute presentation of Gardner's syndrome.
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Affiliation(s)
- Manash Ranjan Sahoo
- Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India
| | - Anil Kumar Nayak
- Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India
| | - Akshapada Pattanaik
- Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India
| | - Manoj S Gowda
- Department of General Surgery, S.C.B. Medical College & Hospital, Cuttack, Odisha, India
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Abstract
Benign bone lesions are a broad category that demonstrates a spectrum of activities from latent to aggressive. Differentiating the various tumors is important in order to properly determine necessary intervention. This chapter focuses on the presentation, imaging, diagnostic features, and treatment of the most common benign bone tumors in order to help guide diagnosis and management.
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Affiliation(s)
- Robert Steffner
- Orthopaedic Oncology, UC Davis Comprehensive Cancer Center, Sacramento, CA, USA,
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Abstract
In this chapter, we review different imaging modalities, including radiography, computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and nuclear medicine scintigraphy, and their application to musculoskeletal neoplasm. Advantages and limitations of each modality are reviewed, and suggestions for imaging approach are provided.
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Jędrychowska-Jamborska J, Kulig-Stochmal A, Markiewicz A, Jakubowska B, Romanowska-Dixon B. [Bilateral choroidal osteoma--a case report]. Klin Oczna 2014; 116:263-266. [PMID: 25906637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Choroidal osteoma is a an extremely rare (especially located bilaterally), benign, intraocular tumor, the type of choristoma. It occurs between 2-3 decades of life, women are particularly vulnerable. The main complication in 1/3 cases is a subretinal neovascularization which may cause bleeding. The gradually progressive decalcification develops within the tumour over time, which causes atrophy of the retinal pigment epithelium and Bruch's membrane deformity. The article presents a case of a 26-year-old woman with bilateral choroidal osteoma complicated by subretinal hemorrhage; the diagnosis was based on clinical examination (biomicroscopy and indirect ophthalmoscopy) as well as specialised tests including: ultrasonography, optical coherence tomography, and fluorescein angiography.
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Brake MK, Morris DP, Trites J, Taylor SM, Van Wijhe RG, Hart RD. A case of bilateral internal auditory canal osteomas. Ear Nose Throat J 2014; 93:E15-E18. [PMID: 24452897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
Abstract
Osteomas of the skull base are rare, benign, slowly progressing growths of dense cortical bone. Osteomas occurring in the internal auditory canal are extremely rare. These lesions have sometimes been linked with dizziness, sensorineural hearing loss, and/or tinnitus. Although there have been documented cases in which surgical excision has improved these symptoms, symptomatic relief is not always achieved with surgical management. Here we present, to the best of our knowledge, only the third reported case of bilateral osteomas of the internal auditory canal. An 82-year-old woman presented with an acute onset of vertigo without a history of trauma or ear infection. She reported two similar episodes occurring a few years earlier, with symptoms persisting for only a few days. Audiometry showed presbycusis. Computed tomography and magnetic resonance imaging identified bilateral internal auditory canal osteomas. The patient was treated conservatively, monitored, and had complete resolution of her symptoms.
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Affiliation(s)
- Maria K Brake
- Division of Otolaryngology-Head and Neck Surgery, QE II Health Sciences Centre, 1276 S. Park St., Rm. 826, Victoria Bldg., Halifax NS B3H 2Y9, Canada
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Yung SSF, Cheung VYT, Chan GSW. Ovarian osteoma mimicking a teratoma on ultrasound. Int J Gynaecol Obstet 2013; 121:280-1. [PMID: 23497749 DOI: 10.1016/j.ijgo.2013.01.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2012] [Revised: 01/22/2013] [Accepted: 02/20/2013] [Indexed: 11/18/2022]
Affiliation(s)
- Sofie S F Yung
- Department of Obstetrics and Gynecology, Queen Mary Hospital, The University of Hong Kong, Hong Kong Special Administrative Region, China.
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Sinisterra G, Álvarez J, Molano PE. [Spontaneous exposition of a midline palatal torus]. Biomedica 2013; 33:31-35. [PMID: 23715304 DOI: 10.1590/s0120-41572013000100004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/05/2011] [Accepted: 09/06/2012] [Indexed: 06/02/2023]
Abstract
INTRODUCTION Palatal torus, or torus palatinus, is a benign bone alteration that may cause some discomfort during phonation or swallowing. When its growth or persistent exposition produces unpleasant symptoms, it must be surgically removed. CASE PRESENTATION We treated an 82-year-old female patient who consulted for a painful ulcerous lesion she had had for a year and which produced halitosis and discomfort when swallowing. During the oral cavity physical exam we observed a hard protuberance on the midline. It showed a perforation and ulceration of the lateral posterior palatal mucosa on the left side. We considered the following diagnosis: palatal torus, osteoma, pyogenic granuloma, or a soft-tissue neoplasia. We decided to surgically remove it and to perform a histopathological examination. Clinical evolution was satisfactory with complete resolution one month after surgery. The histopathological examination showed hyperostosis along with chronic inflammation of the soft tissues and a simple hyperplasia of the mucosa, which in turn indicated a palatal torus. DISCUSSION We report an unusual case of spontaneous exposition of a palatal torus which took up almost all of the hard palate area. Its resection is described and we inform the histopathological findings. In the literature review, we did not find a previous report of a spontaneous exposition of a palatal torus.
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Plantone D, Renna R, Primiano G, Servidei S. Osteoma of the internal auditory canal. Intern Med 2013; 52:839. [PMID: 23545691 DOI: 10.2169/internalmedicine.52.9425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Domenico Plantone
- Department of Neurosciences, Institute of Neurology, Catholic University, Italy.
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Grabovac S, Hadzibegović AD, Markesić J. Inferior turbinate osteoma as a cause of unilateral nose obstruction. Coll Antropol 2012; 36 Suppl 2:189-191. [PMID: 23397784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Osteomas are benign, slow growing bone tumors often seen in paranasal sinuses, mostly in the frontal sinus, whereas they are rare in the nasal cavity. Inferior turbinate osteoma is extremely rare and our case is the third reported in the literature to date. Symptoms vary depending on the location, size and spreading and nasal obstruction is the most common symptom. Treatment of osteomas is surgical and is reserved only for rapidly growing osteomas with symptoms of infection or compression. Although endoscopic surgery is preferred modality, external approach with lateral rhinotomy should be considered with larger osteomas especially those that involve the ethmoid labyrinth. In cases like ours, when large osteoma is localized on the inferior nasal turbinate, sublabial incision through the vestibulum is very suitable approach because it provides wide access and good visibility and leaves no visible scar.
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Affiliation(s)
- Stjepan Grabovac
- Bjelovar General Hospital, Department of Otorhinolaryngology, Bjelovar, Croatia
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